芒针透刺为主治疗带状疱疹后遗神经痛

Clinical experience of elongated needles penetrating treatment for postherpetic neuralgia

带状疱疹后遗神经痛为带状疱疹最常见的并发症,表现为疱疹完全消退后,受累部位仍有疼痛感,严重影响患者生活质量,然现今临床中对该病尚无规范化治疗。传统医学认为该病为皮损消退后余毒未尽,气血瘀滞所致。此病多累及肋间神经、颈神经、三叉神经、腰骶神经等,而累及正中神经的带状疱疹后遗神经痛临床病例较为少见,笔者临床随师诊治此病,认为正中神经走形大致与手厥阴心包经相重叠,故采用芒针透刺手厥阴心包经穴位为主,行活血行气、通经止痛之功,疗效满意,可为临床治疗该病提供思路。

Postherpetic neuralgia is the most common complication of shingles. It is manifested by the fact that after the herpes has completely subsided, there is still pain in the affected area, which seriously affects patients’ quality of life. However, there is no standardized treatment for this disease in clinical practice. Traditional medicine believes that the disease is caused by stagnation of qi and blood stasis after the skin lesions have disappeared. This disease mostly affects the intercostal nerve, cervical nerve, trigeminal nerve, lumbosacral nerve, etc., but clinical cases of postherpetic neuralgia involving the median nerve are relatively rare. The author was fortunate to encounter a case and found that the median nerve overlaps the hand pericardial meridian of Jueyin, so the acupuncture points of this meridian were mainly used to be penetrated with elongated needles, to promote blood and qi circulation, and to dredge meridian and release pains. The efficacywas satisfactory, hopefully to provide ideas for clinical treatment of the disease.